Provider Demographics
NPI:1346309663
Name:ALABAMA HEALTHCARE DEVELOPMENT LLC
Entity Type:Organization
Organization Name:ALABAMA HEALTHCARE DEVELOPMENT LLC
Other - Org Name:HOOVER URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:P
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-987-6801
Mailing Address - Street 1:2467 JOHN HAWKINS PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3538
Mailing Address - Country:US
Mailing Address - Phone:205-987-6801
Mailing Address - Fax:205-987-6810
Practice Address - Street 1:2467 JOHN HAWKINS PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-3538
Practice Address - Country:US
Practice Address - Phone:205-987-6801
Practice Address - Fax:205-987-6810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.27738208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALMD.27738OtherMEDICAL LICENSE